Campylobacter jejuni, an uncommon cause of splenic abscess diagnosed by 16S rRNA gene sequencing

Piseth Seng1, Fanny Quenard2, Amélie Menard2

  • 1Service de Maladies Infectieuses, Centre Interrégional de Référence des Infections Ostéo-articulaires Méditerranée Sud, CHU de la Conception, Assistance Publique - Hôpitaux de Marseille, 147, boulevard Baille, Marseille, France; Aix Marseille Université, Marseille, France.

Insights

A rare splenic abscess in an immunocompetent patient was caused by Campylobacter jejuni. This finding was confirmed using 16S rRNA gene sequencing when traditional cultures were negative.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Genomics

Background:

  • Splenic abscess is a rare condition, typically seen in immunocompromised individuals or those with specific risk factors like trauma or sickle cell anemia.
  • Conventional diagnostic methods often rely on microbial cultures, which can be negative in certain cases.

Observation:

  • This case report details a splenic abscess in a patient with a competent immune system.
  • Standard microbiological cultures of the abscess yielded no growth, presenting a diagnostic challenge.

Findings:

  • The causative agent was identified as Campylobacter jejuni through advanced 16S rRNA gene sequencing.
  • This molecular technique proved crucial in diagnosing a culture-negative infection.

Implications:

  • Highlights the utility of 16S rRNA gene sequencing in identifying pathogens in culture-negative infections.
  • Expands the known spectrum of pathogens causing splenic abscesses, even in immunocompetent hosts.
  • Suggests considering Campylobacter jejuni in the differential diagnosis of splenic abscesses, particularly when cultures are unrevealing.